Organization Active NPI

HFM Inc

  • Community/Retail Pharmacy
  • Chula Vista, CA
National Provider Identifier
1962011064
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HFM INC
Doing business as
SOUTH BAY PHARMACY
Practice address
750 Medical Center Court
Suite 8, Unit a
Chula Vista, CA 91911
Phone
(619) 421-4402
NPI assigned
Jul 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Hassan Mohamad ReichouniNPI 1336204247
Title
Ceo
Phone
(313) 632-1212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

750 Medical Center Court
Suite 8, Unit a
Chula Vista, CA 91911

Mailing address

750 Medical Center Court
Suite 8, Unit a
Chula Vista, CA 91911
Phone (619) 421-4402

Other names 1

  • SOUTH BAY PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20201119000666 CA Part B Supplier - Pharmacy 8820409030 Practice locations: Chula Vista, CA
O20201208002794 CA DME Supplier - Pharmacy 8820409030 Practice locations: Chula Vista, CA
O20201221000797 CA Part B Supplier - Mass Immunization (Roster Biller Only) 8820409030 Practice locations: Chula Vista, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2215838South Bay Pharmacy750 Medical Center CT Suite 8 Unit a, Chula Vista, CA 91911Certificate of waiverMar 7, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
South Bay Pharmacy750 Medical Center CT, Ste 8, Chula Vista, CA 91911-6634(619) 373-9700 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Nov 16, 2020

National Provider Directory

National Provider Directory

Locations

750 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 421-1131

750 Medical Center Ct
Unit A
Chula Vista, CA 91911

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595548800000",
    "number": "1962011064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 MEDICAL CENTER COURT",
            "address_2": "SUITE 8, UNIT A",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "91911",
            "telephone_number": "619-421-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 MEDICAL CENTER COURT",
            "address_2": "SUITE 8, UNIT A",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "91911",
            "telephone_number": "619-421-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HFM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A",
        "authorized_official_last_name": "REICHOUNI",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_middle_name": "MOHAMAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-632-1212"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTH BAY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.